Individual provider Active NPI

Marsha Amelia Thompson Bradnock

  • School Registered Nurse
  • Queens Village, NY
National Provider Identifier
1427788389
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
782217-01 Issued in NY
Practice address
8691 208TH St Apt 3D
Queens Village, NY 11427-2926
Phone
(347) 551-7580
NPI assigned
Jun 14, 2022
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 782217-01 NY Primary

Addresses

Primary practice location

8691 208TH St Apt 3D
Queens Village, NY 11427-2926

Mailing address

8691 208TH St Apt 3D
Queens Village, NY 11427-2926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
782217-01NYMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1427788389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8691 208TH ST APT 3D",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8691 208TH ST APT 3D",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272926",
            "telephone_number": "347-551-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON BRADNOCK",
        "first_name": "MARSHA",
        "middle_name": "AMELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "782217-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.